The definitive guide to safe, effective care of older adults—updated with important new content and streamlined for quick access
Covers the complete range of topics in geriatric care, including theory and fundamentals, assessment, conditions, diseases, symptoms, policies, and societal issues that affect older patients
Provides a framework for using the functional and cognitive status, prognosis, and social context of patients to guide diagnosis and treatment of medical conditions
Delivers essential information on important topics such as delirium, cognitive impairment, dementia, falls and mobility disorders, Parkinson disease and other movement disorders, sleep disorders, and arthritis
Includes guidance on care in all settings – clinic, home, hospital, and long-term care, as well as pre- and post-operative settings
New content on technology to enhance geriatric care, caregiving support, the unique needs of older immigrants, Medicare and Medicaid, legal issues and conservatorship, aid in dying, assisted living care, short-stay rehabilitation, prostate cancer, marijuana use, syncope, and driving safety
Table of Contents
Section1. Principles of Geriatric Assessment and Care
Introduction to the Care of Older Persons: Knowledge, Skills & System Change
Guiding Principles
Overview of Geriatric Assessment (6)
Geriatric Assessment in Primary Care
Teams
Patient Goals
Prognosis
Functional Assessment
Falls & Gait Impairment
Vision Impairment
Hearing Impairment
Dementia
Incontinence
Depression
Nutrition
Medication Use
Caregiver Support
Financial, Environmental and Social Resources
Abuse
Preventive Services
The Interprofessional Team (5)
Key Definitions & Context
Innovations in Geriatric Interprofessional Teams
Evidence for Interprofessional Teams
Barriers to Teamwork
Resources and Tools for Teamwork
Goals of Care and Consideration of Prognosis (3)
Guide to Goals of Care Discussions
Importance of Surrogate Decision Makers
Prognostication
Prognosis Related to Specific Diseases
Communicating Prognosis to Patient or Surrogate
Functional Assessment & Functional Decline (2)
Epidemiology of Functional Limitations
Assessment of Functional Status
Risk Factors for Functional Decline
Prevention of Functional Decline
Treatment of Functional Decline
Falls & Mobility Impairment (25)
Epidemiology of Falls
Assessment of Fall Risk and Mobility
Risk Factors for Falls
Prevention of Falls
Treatment of Mobility Impairment
Managing Vision Impairment (61)
Normal Changes in the Aging Eye
Cataracts
Age-Related Macular Degeneration
Diabetic Retinopathy
Glaucoma
Systemic Effects of Eye Medications
Visual Symptoms Indicating Need for Urgent Referral to an Eye-Care Specialist
Managing Hearing Impairment (62)
Age-related Hearing Changes
How and when to test for Hearing Impairment
Sensory Hearing Impairment
Neural Hearing Impairment
Conductive Hearing Impairment
Treatment for Hearing Impairment
Cognitive Impairment & Dementia (22)
Age-related Cognitive Changes
Screening for Cognitive Impairment
Mild Cognitive Impairment
Common types of Dementia
Dementia-related Behaviors
When to refer to subspecialty care
Urinary Incontinence (39)
Age-related Urogenital Changes
Screening for Urinary Incontinence
Common Causes, Diagnosis, and Treatment of Male-Sex Urinary Incontinence
Common Causes, Diagnosis, and Treatment of Female-Sex Urinary Incontinence
Sexual Health & Dysfunction (46)
Age-related physiologic changes affecting sexual function
Taking a Sexual History
Sexually-transmitted Infections
Common Causes, Diagnosis, and Treatment of Male-Sex Sexual Dysfunction
Common Causes, Diagnosis, and Treatment of Female-Sex Sexual Dysfunction
Depression & Other Mental Health Issues (45)
Depression
Suicide
Bipolar Disorder
Anxiety & Stress Disorders
